Mass General Brigham Health Plan
Six major aims for care
Mass General Brigham Health Plan believes that quality care should be:
- Safe: Care that is intended to help patients should not injure them.
- Effective: Services should be based on scientific knowledge and given to all who could benefit. Care should not be used when it will not be beneficial. Effective care should be precise: services should not be overused or underused.
- Patient-centered: Care should be respectful and responsive to individual patient preferences, needs, and values.
- Timely: Access to care should not take longer than necessary. Patients should not have to wait unless it will provide information or time to heal. Prompt attention benefits both the patient and the caregiver.
- Efficient: Effective care should minimize waste — and cost — of supplies, equipment, space, capital, ideas, time, and opportunities.
- Equitable: Everyone should have access to high quality care, regardless of their race, ethnicity, gender, or income.
Our mission and vision
Our vision is to help create a world in which all people live healthier lives. We strive to create a better health system by removing barriers, providing no-nonsense solutions, innovating through partnerships, and delivering compassionate experiences.About Mass General Brigham
From the hospital to home, our integrated health system offers high-quality care in every part of the health journey. For more information, please visit massgeneralbrigham.org.Search among Mass General Brigham Health Plan jobs
| Jobs: 1 - 10 of 14 |
Program Manager, Duals Customer Experience
Somerville, Massachusetts
Mass General Brigham Health Plan
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Togeth...
1d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity The Appeals Assistant is vital to the team and supports the appeals and claims resolution process, ensuring timely submission and follow-up on appeals for DSNP and Medicare Advantage lines of business at Mass General Brigham...
3d
| Job Type | Full Time |
Clinical Care Manager Mass General Brigham Health Plan
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity Mass General Brigham Health Plan seeks a Registered Nurse (RN) Clinical Care Manager to work as part of an interdisciplinary care team providing care management for health plan enrollees with complex medical, behavioral, and...
4d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
An essential, non-clinical member of the care team that provides services for patients with substance use disorder (SUD). The overall goal is to engage with patients, utilize harm reduction techniques to address any stage of readiness, prov...
4d
| Job Type | Full Time |
Clinical Trial Project Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Togeth...
6d
| Job Type | Full Time |
Senior Vendor Compliance Program Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
In collaboration with the Senior Director, Government programs, manage the vendor oversight programs for government payer programs (Medicare Advantage, Part D, Dual Special Needs Programs) and then state insurance programs. Set up the vendo...
11d
| Job Type | Full Time |
Utilization Management Care Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
The UMCM will utilize clinical knowledge to analyze, assess, and render approval decisions, to determine the need for physician review as well as complete determinations following physician review. The ideal candidate will have prior author...
11d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity MGBHP is seeking an experienced EDI Developer who is responsible for the design, development and maintenance of EDI solutions for HIPAA EDI like 270/271, 276/277, 278, 820, 834, 835, 837 and 999 transactions. Must have a goo...
12d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for overseeing a team that assesses healthcare (D-SNP/fully-integrated Medicare & MassHealth/Medicaid) claims for accuracy, compliance, and eligibility, ensuring that claims are processed efficiently and in accordance with indus...
17d
| Job Type | Full Time |
Medicare Advantage Call Center/Enrollment Quality Reviewer
Somerville, Massachusetts
Mass General Brigham Health Plan
The Quality Control Reviewer for Medicare Advantage and DSNP is a vital member of the quality assurance team, focused on monitoring and evaluating Medicare Advantage and DSNP customer service calls, transactions, and member enrollment proce...
17d
| Job Type | Full Time |